CMS API Gateway

This investment is will define implementation and approaches to manage data and information to support CMS business and technology goals. There are three main goals. Goal 1: Creating Pathways for Innovation and Accountability Objective:
Support innovative approaches to improved data quality and data sharing across Program Integrity Systems, CMS
Stakeholders and empower states. Goal 2: New Path Forward for Data & Interoperability. Objective: Achieve near real time data exchanges between provider and investigative systems. Goal 3: Strengthening & Modernizing Medicare. Objective: Achieve modernization of systems by enabling APIs, data sharing and reducing redundant data storage. Goal 4: Improve the
CMS Customer Experience. Objective: Leverage new technologies to make more data accessible and improved views of data for better decision making. Goal 5: Improve Outcomes and Reduce Provider Burden: Objective: Ability to correlate data changes with the business events that triggered them; Near real time data access with ability to service real-time operational transaction loads and provide analytics with more data to build algorithms upon without replicating data.

As CMS systems modernize, the API Gateway solution using MuleSoft will result in cost savings for other programs by replacing less modern technology in license renewal costs. The API Gateway program is the backbone for sharing large data in a single instance. In the near future, CMS will be extending data sharing to the States for Medicare and Medicaid provider enrollment, the API Gateway will play a critical role in this process. Data sharing, transparency and working more closely with the States has been and is a CMS strategic initiative.

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